Individual
MRS. VICKIE JEAN GAVIDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
95 TROY ST, SENECA FALLS, NY 13148-1137
(315) 712-0511
(315) 712-0588
Mailing address
95 TROY ST, SENECA FALLS, NY 13148-1137
(315) 712-0511
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
488030
NY
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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